Manipulation chest wall initial demonstration/evaluation at BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE
2600 E. Pflugerville Parkway, Suite 100, TX · Baylor Scott & White Health · · NPI 1346729159
$202.10
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$336.84
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$37.05 with Superior Health Plan vs $402.32 with Blue Cross Blue Shield — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| Superior Health Plan | Medicaid | $37.05 | ↓ -82% |
| United Healthcare | Medicaid/CHIP | $39.65 | ↓ -80% |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $122.54 | ↓ -39% |
| Baylor Scott & White Health Plan | Medicare Advantage | $126.97 | ↓ -37% |
| CORVEL | Worker's Compensation | $129.64 | ↓ -36% |
| TriWest | Community Care Network | $133.65 | ↓ -34% |
| Humana | Medicare | $133.65 | ↓ -34% |
| Superior Health Plan | Medicare HMO/Medicare PPO | $133.65 | ↓ -34% |
| HealthSpring | Medicare Advantage | $140.33 | ↓ -31% |
| ProCare Advantage | Medicare Advantage | $140.33 | ↓ -31% |
| American Health Plan | Medicare Advantage | $140.33 | ↓ -31% |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $144.17 | ↓ -29% |
| United Healthcare | Medicare Advantage | $149.69 | ↓ -26% |
| Cigna | Local Plus | $156.29 | ↓ -23% |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $160.38 | ↓ -21% |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $167.73 | ↓ -17% |
| Prime Health Services | Worker's Compensation | $168.53 | ↓ -17% |
| Cigna | HMO/PPO | $182.57 | ↓ -10% |
| MidCoast | Commercial | $185.26 | ↓ -8% |
| Aetna | Commercial | $185.26 | ↓ -8% |
| QuikTrip | Employee Benefit Plan | $185.26 | ↓ -8% |
| University of Mary Hardin-Baylor | Commercial | $195.37 | ↓ -3% |
| Sedgwick | Preferred Network | $199.81 | ↓ -1% |
| Independent Medical System | Commercial PPO | $202.10 | ↑ +0% |
| Curative | Commercial | $218.95 | ↑ +8% |
| Humana | Commercial HMO | $218.95 | ↑ +8% |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $220.52 | ↑ +9% |
| United Healthcare | Commercial | $232.76 | ↑ +15% |
| Humana | Commercial PPO | $235.79 | ↑ +17% |
| HealthSmart | Accel Network | $235.79 | ↑ +17% |
| First Health | PPO | $235.79 | ↑ +17% |
| Private Health Care System | PHCS Network | $252.63 | ↑ +25% |
| HealthSmart | Preferred Network | $252.63 | ↑ +25% |
| Three Rivers | Three Rivers Provider Network | $303.16 | ↑ +50% |
| Mark Cuban | Commercial | $316.45 | ↑ +57% |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $329.27 | ↑ +63% |
| Blue Cross Blue Shield | Blue Advantage | $333.63 | ↑ +65% |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $381.61 | ↑ +89% |
| Blue Cross Blue Shield | BlueChoice (PPO) | $402.32 | ↑ +99% |
Visitor-reported prices
Comments
Manipulation chest wall initial demonstration/evaluation at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $572.01 | $419.77 – $419.77 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $226.54 | $64.19 – $316.45 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $216.95 | $44.66 – $325.43 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $202.10 | $40.42 – $316.45 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $226.54 | $60.41 – $316.45 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $216.95 | $69.64 – $325.43 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $216.95 | $112.09 – $3,235.82 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $202.10 | $67.37 – $316.45 |